Social Impact Lab PDX: Spring 19 - Lab Scholarship Application
We strive to make the Social Impact Lab accessible to all social impact changemakers. A limited number of partial and full need-based scholarships are available on a rolling, case-by-case basis.

This form is intended for those wishing to apply for financial assistance to help with program fees associated with the Social Impact Lab Portland - Spring 2019.

In addition to this Scholarship Application, you will want to make sure you submit the Lab Application form. Your scholarship application will not be considered until the Lab Application is complete.


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First and Last Name *
Email (use the same from the Lab Application) *
Which of the following best describes your current employment status? *
Please select your anticipated annual income below:
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How many dependents do you have other than yourself? *
We define dependents as people for whom you provide for 50% or more of their financial needs
Does someone else (e.g. a partner, parent, or family member) contribute financially to support your cost of living? *
Please explain the factors that would help us make a scholarship decision. *
You may be as brief or as thorough as you need here.
The lab fee for the Social Impact Lab is $329 ($279 for early registration), which is a subsidized rate. If cost will be the deciding factor in your participation, please let us know what lab fee you can afford below based on our sliding scale *
We will assess the needs of scholarship applicants and let you know what scholarship level we are able to offer.
Required
Final Comments (Optional)
You may use this space to let us know about anything relevant to your scholarship application that you feel is not reflected in the information above.
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